The Mandeville Regional Hospital (MRH) in Manchester has become the first hospital in Jamaica to perform a scar-free minimally invasive vaginal surgery known as Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES).The groundbreaking procedure, which allows surgeons to operate through the vaginal canal using specialised instruments and a camera, eliminates the need for abdominal incisions and visible scarring.